THOMAS A KOENIG (NPI# 1689678914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689678914 |
| Entity Type | Individual |
| Full Name | THOMAS A KOENIG |
| Other Name | THOMAS A KOENIG |
| Credential | SAC |
| Practice Address |
560 South Loop Rd Edgewood KY 41017-3454 |
| Practice Telephone | 8593012663 |
| Practice Fax Number | 8593010655 |
| Mailing Telephone | 8593012663 |
| Mailing Fax Number | 8593010655 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
02-296 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | CHOICE CARE PROVIDER ID | CSA98601 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912119611 | Thomas G Koenig | Nurse Anesthetist, Certified Registered | 208 Lakewood Ln, Georgetown, OH 45121-9039 | 2007-05-04 |
| 1952468415 | Thomas Martin Koenig | Orthopaedic Surgery | 11808 Kingston Pike, Suite 190, Knoxville, TN 37934-3838 | 2007-01-03 |
| 1760419741 | Thomas B Koenig | Internal Medicine | 3366 Oakdale Ave N, Suite 315, Robbinsdale, MN 55422-2948 | 2006-06-27 |
| 1245275171 | Thomas Koenig | Psychiatry & Neurology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-06-17 |
| Street Address |
560 SOUTH LOOP RD |
| City | EDGEWOOD |
| State | KY |
| Zip Code | 41017-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676843 | Gordon W Air | Orthopaedic Surgery | 560 South Loop Rd, Edgewood, KY 41017-3454 | 2005-06-01 |
| 1801886767 | Marie E Fightmaster | Occupational Therapist | 560 South Loop Rd, Edgewood, KY 41017 | 2005-10-24 |
| 1316937287 | David L Grome | Occupational Therapist | 560 South Loop Rd, Edgewood, KY 41017-5102 | 2005-10-24 |
| 1386634251 | Donna S Hoffmann | Physical Therapist | 560 South Loop Rd, Edgewood, KY 41017 | 2005-10-24 |
| 1487644373 | Margaret E Robinson | Occupational Therapist | 560 South Loop Rd, Edgewood, KY 41017 | 2005-10-24 |
| 1184614059 | Stacey R Mcconnell | Physical Therapist | 560 South Loop Rd, Edgewood, KY 41017 | 2005-10-24 |
| 1386634160 | Robert Allen Gredig | Physical Therapist | 560 South Loop Rd, Edgewood, KY 41017-5102 | 2005-10-24 |
| 1023008828 | Matthew Scott Williams | Physical Therapist | 560 South Loop Rd, Edgewood, KY 41017 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053789024 | Matthew Giese | Physician Assistant | 560 S Loop Rd, Edgewood, KY 41017-3405 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427429620 | Hannah Johnson | Physician Assistant | 4359 New Shepherdsville Rd Unit 245, Bardstown, KY 40004-8004 | 2015-10-13 |
| 1558666941 | Lisa Elaine Knipp | Physician Assistant | 72 Little Current Trl, Corbin, KY 40701-8535 | 2011-01-17 |
| 1366675886 | Meadow Creek Surgical Plc | Physician Assistant | 1420 Millertown Rd, Rockholds, KY 40759-7640 | 2009-09-01 |
| 1801063698 | Lake Cumberland Surgical Consultants Psc | Physician Assistant | 350 Hospital Way Ste 270, Somerset, KY 42503-1875 | 2008-05-12 |
| 1235305905 | Michelle Denise Cole | Physician Assistant | 3240 Mount Moriah Ave, Owensboro, KY 42303-7805 | 2008-05-02 |
| 1629275011 | Beverly A. Hatcher | Physician Assistant | 1725 Ashley Cir Ste 211, Bowling Green, KY 42104-5820 | 2007-06-28 |
| 1639374465 | Neurosurgical Associates of Western Kentucky, Psc | Physician Assistant | 225 Medical Center Dr Ste 401, Paducah, KY 42003-7914 | 2007-06-20 |
| 1255463196 | Robert Louis Boden | Physician Assistant | 320 Skyview Dr, Paris, KY 40361-1039 | 2007-03-09 |
| 1043345358 | Professional Surgical Assistants, Inc. | Physician Assistant | 1945 Scottsville Rd Ste B2 Pmb 397, Bowling Green, KY 42104-5836 | 2007-02-23 |
| 1124161609 | Linda Mae Moran | Physician Assistant | 275 Wedgewood Place, Paducah, KY 42001 | 2007-02-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.